Job Description

Job Description

Job Description

Position Title: Healthcare Domain Consultant Agentic AI
Location: US - Remote (PST hours)
Job Type: Contract

Let's create our future together at The AES Group!

About The AES Group:

The AES Group is a premier technology consulting company that has been bringing businesses and talent together for over 20 years to deliver the most innovative technology solutions that create the most positive impact on society. AES has helped over 40 business enterprises, including Fortune 500 companies, engage their customers, empower their employees, and transform their business operations with the power of cloud, data, AI, and other emerging technologies.

Roles and Responsibilities:

Consulting Engagements:

• Lead and manage workstreams in a Start-up or consulting programs or projects, guiding small teams and contributing to the overall success of the Healthcare practice.
• Bring deep expertise in healthcare operations and practices, with a focus on key functional areas within the healthcare value chain, such as:
  • End-to-end claims processes
  • Contact centers
  • Utilization management and prior authorization
• Assist clients in identifying use cases for intelligent automation in healthcare, providing accurate effort estimations and clear assumptions for implementation.

Digital Strategy / Blueprint / Roadmap Engagement Delivery:

• Work alongside consulting program/project leaders to deliver digital transformation services tailored to healthcare organizations.
• Guide clients through the development of their digital strategy, blueprint, and roadmap, ensuring alignment with industry best practices and healthcare-specific needs.
• Analyze clients' current state of digital capabilities, identifying gaps and opportunities to improve operational efficiency, patient outcomes, and stakeholder experiences.
• Develop tailored solutions that enhance healthcare delivery, drive positive health outcomes, and streamline administrative processes.

Agentic AI / AI Solution Implementations:

• Serve as an integral team member for implementing digital or AI solutions that drive operational efficiency in healthcare settings, including:
  • Robotic Process Automation (RPA)
  • Document Understanding and Optical Character Recognition (OCR)
  • Chatbots and virtual assistants
  • Process Mining and Machine Learning
• Partner with internal and external stakeholders to understand healthcare-specific business needs and build actionable implementation roadmaps.
• Lead teams in the configuration and deployment of digital and AI capabilities to address operational challenges, ensuring readiness among business stakeholders.
• Assist clients in leveraging intelligent automation technologies to drive transformation in areas such as claim processing, prior authorization, and patient services.

Healthcare-Specific Intelligent Automation Leadership:

• Lead intelligent automation initiatives across healthcare domains, focusing on:
• Conducting process assessments, defining business cases, and selecting appropriate vendors.
• Drive process improvement and re-engineering efforts using automation and AI to optimize healthcare business functions and patient experiences.
• Develop and execute automation programs, ensuring alignment with healthcare regulatory standards, operational goals, and transformation initiatives.

Basic Qualifications:

• A minimum of 10 years of experience in the healthcare domain, with a strong understanding of the healthcare value chain and its business functions, including payer/provider processes.
• In-depth knowledge of one or more healthcare functional areas such as claims management, utilization management, contact centers, and appeals/grievances.
• At least 5 years of experience in implementing intelligent automation solutions, including Robotic Process Automation (RPA), low-code platforms, and Optical Character Recognition (OCR).
• At least 4 years of hands-on experience with leading intelligent automation platforms such as UiPath, Automation Anywhere, Blue Prism, or Microsoft.
• At least 4 years of experience working within Agile or RPA methodologies for intelligent automation project delivery.
• A minimum of 3 years of experience in implementing Process and Task Mining capabilities, specifically using platforms like UiPath Process Mining.
• Strong written and verbal communication skills, including the ability to present effectively to senior business and IT stakeholders.
• Demonstrated problem-solving ability, with expertise in process analysis, mapping, and troubleshooting, particularly in a healthcare context.
• Familiarity with the financial, performance, and quality metrics used in the healthcare industry to measure outcomes and operational efficiency.
• Knowledge of advanced AI/ML techniques, particularly as applied to healthcare use cases, is a plus.
• Experience with Strategy-to-Implementation programs related to Digital Transformation or Intelligent Automation in healthcare, including cloud-based solutions.
• Familiarity with Agile, Scrum, and other modern project management methodologies for digital healthcare transformation.

What we offer:

• Competitive pay with a focus on your performance and outcomes
• Professional growth opportunities that enable you to connect and collaborate with industry leaders and drive business value for some of the world's most innovative and forward-thinking companies
• Open and collaborative environment where your contributions help shape The AES Group into something that works for you, not just a company you happen to work for

Let your future start with The AES Group and join our mission to create the most positive impact on society with the power of technology. Apply now.

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